HESI RN Exit Exam Capstone

Questions 101

HESI RN

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HESI RN Exit Exam Capstone Questions

Question 1 of 5

The nurse is caring for a client with an exacerbation of chronic obstructive pulmonary disease (COPD). Which intervention is most important to promote effective breathing?

Correct Answer: A

Rationale: Diaphragmatic breathing helps improve lung expansion and oxygen exchange, promoting more effective breathing in clients with COPD. Increasing oxygen flow rate is not always appropriate and can worsen hypercapnia in these clients.

Question 2 of 5

A client is admitted with pneumonia and is started on antibiotics. After 3 days, the client reports difficulty breathing and a rash. What is the nurse's first action?

Correct Answer: B

Rationale: The client's difficulty breathing and rash suggest a possible allergic reaction to the antibiotic. The nurse should immediately discontinue the antibiotic to prevent further exposure and then assess the client and notify the healthcare provider.

Question 3 of 5

An older client is admitted to the intensive care unit unconscious after several days of vomiting and diarrhea. The nurse inserts a urinary catheter and observes dark amber urine output. Which intervention should the nurse implement first?

Correct Answer: C

Rationale: A fluid bolus is the first step in stabilizing a client with hypovolemic symptoms.

Question 4 of 5

A client with heart failure is experiencing shortness of breath and swelling in the legs. What is the nurse's priority intervention?

Correct Answer: A

Rationale: Diuretics are prescribed to reduce fluid overload in clients with heart failure. By promoting urine output, diuretics help alleviate symptoms like shortness of breath and swelling. Positioning and dietary changes can also be part of the care plan, but administering diuretics is the immediate priority.

Question 5 of 5

A client scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. Which intervention has the highest priority in preparing the client for the procedure?

Correct Answer: C

Rationale: Encouraging the client to write down questions allows the nurse to address concerns systematically, reducing anxiety. This approach is empowering and ensures that all concerns are covered before the procedure, reducing the risk of miscommunication or unaddressed fears.

Similar Questions

A client scheduled for a bronchoscopy in the morning is anxious and asking the nurse numerous questions about the procedure. Which intervention has the highest priority in preparing the client for the procedure?
A female client reports that her hair is becoming coarse and breaking off, that the outer part of her eyebrows have disappeared, and that her eyes are puffy. What follow-up question is best for the nurse to ask?
A client with a deep vein thrombosis (DVT) is prescribed enoxaparin. What teaching should the nurse provide?
After administering a proton pump inhibitor, which action should the nurse take to evaluate the effectiveness of the medication?
A young woman with multiple sclerosis just received several immunizations in preparation for moving into a college dormitory. Two days later, she reports to the nurse that she is experiencing increasing fatigue and visual problems. What teaching should the nurse provide?

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